Individual
JUDY A GROSSMAN-EULAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18538
NY
221700000X
Art Therapist
Primary
000376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
11/13/2006
Last updated
06/20/2011
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